Active NPI
Tanner John Rodriguez, D.C.
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1477091981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13344
- Practice address
- 6300 Ridglea PL
Suite 408
Fort Worth, TX 76116-5704 - Phone
- (817) 708-2800
- Fax
- (817) 708-2886
- NPI assigned
- Feb 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13344 | TX | Primary |
Addresses
Primary practice location
6300 Ridglea PL
Suite 408
Fort Worth, TX 76116-5704
Mailing address
6300 Ridglea PL
Suite 408
Fort Worth, TX 76116-5704
Phone (817) 708-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13344 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodriguez Family Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Fort Worth, TX
- NPI 1710424213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1477091981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 RIDGLEA PL",
"address_2": "SUITE 408",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165704",
"telephone_number": "817-708-2800",
"fax_number": "817-708-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 RIDGLEA PL",
"address_2": "SUITE 408",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165704",
"telephone_number": "817-708-2800",
"fax_number": "817-708-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "TANNER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-03",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.